Program Book Form
Please enter your information as you wish it to be listed in the program book.
Are you a Miss or Teen candidate?
Miss
Teen
Name
First Name
Last Name
Age
Parents' Names
School
College Major (if applicable)
If you are a college graduate, where are you employed and what is your title?
Type of Talent
Ex.: Vocal, Jazz Dance, Piano, etc.
Talent Song Title (if applicable)
Social Impact Initiative Title
How does the Miss Quincy Scholarship Program empower young women?
How would you spend a day in Havana, Cuba?
Head Shot Photo
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